Please enable JavaScript in your browser to complete this form.

Tech Details


Date

Pharmacy / Site Details


Network and Internet Checks


Switch Speed
Ports
Selected Value: 0

Internet Type
Selected Value: 5
Selected Value: 5
Click or drag files to this area to upload. You can upload up to 3 files.
Upload photos for the site or device such as of comms cabinet, important hardware and server locations etc.

Device Checks


Checks Carried
Leave unchecked if not applicable
ex .Computer requires upgrades: RAM SSD etc
Click or drag files to this area to upload. You can upload up to 2 files.
Upload photos for device showing it's location along with any attached peripherals

Checks Carried
Leave unchecked if not applicable
ex .Computer requires upgrades: RAM SSD etc
Click or drag files to this area to upload. You can upload up to 2 files.
Upload photos for device showing it's location along with any attached peripherals

Checks Carried
Leave unchecked if not applicable
ex .Computer requires upgrades: RAM SSD etc
Click or drag files to this area to upload. You can upload up to 2 files.
Upload photos for device showing it's location along with any attached peripherals

Checks Carried
Leave unchecked if not applicable
ex .Computer requires upgrades: RAM SSD etc
Click or drag files to this area to upload. You can upload up to 2 files.
Upload photos for device showing it's location along with any attached peripherals

Checks Carried
Leave unchecked if not applicable
ex .Computer requires upgrades: RAM SSD etc
Click or drag files to this area to upload. You can upload up to 2 files.
Upload photos for device showing it's location along with any attached peripherals